Visiting Scholar
Application Form

INWHICHQUARTERWOULDYOULIKETOBEGINYOURRESEARCH?

FALLWINTERSPRINGSUMMER

PROPOSEDDURATIONMONTHS

ARRIVAL DATEDEPARTURE DATE

1.FIRST NAME

2.MIDDLE NAME

3.LAST NAME

4.U.S. SOCIAL SECURITY NUMBER (IF APPLICABLE)

5.DATE OF BIRTH//6.MALEFEMALE

7.COUNTRY OF CITIZENSHIP

8.COUNTRY OF BIRTH

9.HOME ADDRESS

U.S. CITIZENPERMANENT U.S.RESIDENT

CITY / STATE / ZIP CODE
COUNTRY
10. HOME PHONE / E-MAIL
11. MOTHER TONGUE / 11. ENGLISH LEVEL

12.INSTITUTION

13.DEPARTMENTTITLE

14.ADDRESS

CITYSTATEZIP CODE COUNTRY

15.TELEPHONEFAX

16.WEBSITE

17.COUNTRIES OF INTEREST

18.AREA (S)OF INTEREST

19.RESEARCH TOPIC TITLE

* PLEASE ATTACH A ONE PAGE SUMMARY OF YOUR PROPOSED RESEARCH

20.

DATES OF ATTENDANCE / NAME OF SCHOOL / LOCATION / MAJOR SUBJECT / DEGREE

21.

GOVERNMENTUNIVERSITYPERSONALOTHER

*PLEASE SPECIFY HOW YOU PLAN TO FUND YOUR VISIT

DOES YOUR SCHOLARSHIP REQUIRE ANY SPECIFIC FUNDING FROM THE HOSTING INSTITUTION (SIGUR CENTER)?

NO YES

IF YES, PLEASE SPECIFY

22.

NAME AND PERMANENT ADDRESS OF PERSON TO BE NOTIFIED IN CASE OF EMERGENCY: NAME

ADDRESS

TELEPHONE E-MAIL

FACULTY CONTACTS AT GWU

23. Visiting Scholars at the Sigur Center are expected to play an active role in the intellectual life of the Sigur Center and the Elliott School of International Affairs. As such, Visiting Scholars at the Sigur Center should anticipate participating in activities such as - but not limited to - attending Sigur Center events and providing guest lectures in GW courses related to their research topic. Visiting Scholars must also present their research in an oral presentation or written report to the Sigur Center by the end of their term. Specific arrangements for participation in activities and submission of research findings – such aslogistical details of the presentation and/or length and content of written report – will be communicated and confirmed between the Visiting Scholar, Sigur Center staff, and the Scholar’s GW faculty advisor as needed.

Additionally, due to the high volume of Visiting Scholar applications and limited office space available at Sigur Center, accepted Scholars may have to share desk space during their research term. This will also be communicated and confirmed between the Visiting Scholar and Sigur Center staff as needed.

By signing below, you acknowledge and accept the above expectations.

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ApplybyMail:SigurCenterforAsianStudies

VisitingScholarProgram

ElliottSchoolofInternationalAffairs,GeorgeWashingtonUniversity1957EStreet,N.W.,Suite503

WashingtonD.C.,20052U.S.A.

ApplybyFax:(202)994-6096ApplybyE-mail:oreinformation:(202)994-5874

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